Does chronic pain qualify for a medical card in Washington?
Yes. The Washington Medical Cannabis Program lists Intractable pain not relieved by standard treatments or medications as a qualifying condition. A Washington-licensed provider still has to evaluate you and agree that cannabis is appropriate.
About chronic pain
Stronger evidence. The National Academies found substantial evidence that cannabis is an effective treatment for chronic pain in adults. Most trials looked at neuropathic pain and measured modest reductions in pain scores, and many patients use cannabis to cut back on other medications.
Symptoms Washington patients most often hope to ease:
- Persistent aching or burning pain
- Nerve pain such as tingling, shooting or electric sensations
- Pain that keeps you from sleeping
- Muscle tension and spasms
- Side effects or limited relief from current pain medicines
Read more: medical marijuana for chronic pain.
How to get certified in Washington
- Confirm you have one of Washington's listed qualifying conditions.
- Book an in-person visit with an MD, DO, ND, PA or ARNP willing to authorize medical cannabis (the state does not publish a provider list).
- Get the signed medical cannabis authorization form if the practitioner agrees cannabis may help.
- Optionally (required for minors), take the authorization and your ID to a medically endorsed cannabis store.
- Have a certified medical cannabis consultant enter you in the database and issue your recognition card for a minimum $1 fee.
- Shop tax-free for DOH-compliant products at endorsed stores using your recognition card.
Washington requires your first certification visit in person. Renewals can usually be done online.
Costs and timeline
- State fee: $1 minimum for the recognition card (stores may charge more)
- Card lasts: Up to 1 year for adults; up to 6 months for minors
- Processing: Recognition card issued during the in-person store visit
- Patient limit: With a recognition card: 3 oz usable cannabis, 48 oz solid infused, 216 oz liquid infused, 21 g concentrate, plus up to 8 oz (or 16 oz if authorized) from home grow
- Home grow: 4 plants with an authorization only; 6 plants with a recognition card, up to 15 if the practitioner authorizes; 15 plants max per household
- Recreational sales: Legal for adults 21+
- First visit online: No — in person first
See the full Washington cost breakdown and Washington program overview.
Other qualifying conditions in Washington
- Anorexia & appetite loss
- Cachexia & wasting syndrome
- Cancer
- Crohn's & IBD
- Epilepsy & seizures
- Glaucoma
- HIV/AIDS
- Hepatitis C
- Multiple sclerosis
- Nausea & appetite loss
- PTSD
- Severe muscle spasms & spasticity
- Traumatic brain injury (TBI)
Chronic pain in nearby states
Frequently asked questions
Do I need medical records for chronic pain?
How long does certification take in Washington?
Can I renew online in Washington?
Sources
- Medical Cannabis - Washington State Department of Health
- Medical Cannabis Patient Information - Washington State Department of Health
- Medical Cannabis Frequently Asked Questions - Washington State Department of Health
- National Academies — The Health Effects of Cannabis and Cannabinoids (2017)
This guide is general information, not medical or legal advice. Laws change — confirm details with your state agency. State facts last checked October 7, 2026.